Key features

• •UNIQUE! Case histories that illustrate key legal points
• •Tips to help nurses streamline documentation without sacrificing accuracy
• •Guidance for documenting unusual or difficult developments or events
• •Clear, concise explanations of complex legal terms and concepts
• •Advice on how and why to document for a variety of documentation systems
• •Charting Checklists identify essential points to record for a particular situation
• •Legal Briefs explain legal terms, such as a living will, or give practical advice for avoiding legal pitfalls
• •Case Law Close-Ups describe specific court cases, explain the court's ruling, and point out the nursing implications
• •Tips and Advice help the nurse solve documentation problems, such as correcting a mistaken entry, and give advice on recording data in complex situationsDid you know? sections present interesting, practical, or little-known points related to a specific topic
• •Completely updated content throughout that reflects the latest information and guidelines affecting documentation, including HIPAA and JCAHO standards.
• •Expanded coverage of electronic documentation and its implications for nurses.
• •A wealth of new and expanded special features such as Charting Checklists, Legal Briefs, and Case Law Close-Ups that further illustrate important documentation and legal considerations